Name
Email
Phone
Are you a member of Now Word Covenant Church?
Yes
No
Please note that we regularly schedule Baby Dedications on the
3rd Sunday of the month
. If you're requesting an exception, please add your requested exception date(s) below and provide a brief explanation/justification below. Thank You.
Requested Dedication Date
MM
/
DD
/
YYYY
Alternate Dedication Date
MM
/
DD
/
YYYY
Explanation/Justification
Only complete if you're requesting date(s) other than the 3rd Sunday of the month
Parent's Information
Mother's Name
Father's Name
Baby's Information
First / Last name
What is the meaning of your baby's name? (If you would like to share this information)
Birthday
MM
/
DD
/
YYYY
Godparent's Information
Godmother's Name
Godfather's Name
Additional Information
Please upload three 5x7 photographs of your baby in .jpeg format. The photos will be shown
during the dedication service only.
Delete all uploads
Choose files or drag here
SUBMIT FORM
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